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General NPI Number Information
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NPI Number | 1215524178
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Entity Type | Individual
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Provider Name | CYNTHIA LYNN BURRIS
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Gender | Female
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 922 FORESTERIA DR
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City | LAKE PARK
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State | FL
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Zip | 33403-3106
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Country | US
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Telephone | 561-840-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 URANUS TER
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33403-1661
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Country | US
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Telephone | 561-294-6777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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